Individual
FAIZA A OMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5196 HAMPTON ST NE, PRIOR LAKE, MN 55372-1370
(952) 737-2769
Mailing address
5196 HAMPTON ST NE, PRIOR LAKE, MN 55372-1370
(952) 737-2769
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/26/2023
Last updated
04/26/2023
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